Long-term mortality and major adverse cardiovascular events in sepsis survivors a nationwide population-based study

Shuo Ming Ou, Hsi Ning Chu, Pei Wen Chao, Yi Jung Lee, Shu-Chen Kuo, Tzeng Ji Chen, Ching Min Tseng, Chia Jen Shih, Yung Tai Chen

Research output: Contribution to journalArticle

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Abstract

Rationale: Patients with sepsis who survive to hospital discharge may present with ongoing high morbidity and mortality. However, little is known about the risk of long-term, all-cause mortality and cardiovascular outcomes after sepsis. Objectives: Our study aimed to investigate the long-term clinical outcomes in sepsis survivors. Methods: In this nationwide population-based study, data from patients with sepsis were retrieved from Taiwan's National Health Insurance Research Database between 2000 and 2002. Each sepsis survivor was 1:1 propensity-matched to control subjects from two different control populations: subjects who were in the general population and subjects who were hospitalized for a nonsepsis diagnosis. The primary outcomes were all-cause mortality, major adverse cardiovascular events, myocardial infarction, heart failure, stroke, and sudden cardiac death or ventricular arrhythmia. Measurements and Main Results: Compared with matched population control subjects, sepsis survivors had higher risks of all-cause mortality (hazard ratio [HR], 2.18; 95% confidence interval [CI], 2.14-2.22), major adverse cardiovascular events (HR, 1.37; 95% CI, 1.34-1.41), ischemic stroke (HR, 1.27; 95% CI, 1.23-1.32), hemorrhagic stroke (HR, 1.36; 95% CI, 1.26-1.46), myocardial infarction (HR, 1.22; 95% CI, 1.14-1.30), heart failure (HR, 1.48; 95% CI, 1.43-1.53), and sudden cardiac death or ventricular arrhythmia (HR, 1.65; 95% CI, 1.57-1.74). Similar results, although slightly attenuated risks, were found when comparisons were made with hospitalized control subjects without sepsis. Conclusions: These data indicate that sepsis survivors had substantially increased risks of subsequent all-cause mortality and major adverse cardiovascular events at 1 year after discharge, which persisted for up to 5 years after discharge.

Original languageEnglish
Pages (from-to)209-217
Number of pages9
JournalAmerican Journal of Respiratory and Critical Care Medicine
Volume194
Issue number2
DOIs
Publication statusPublished - Jul 15 2016

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Survivors
Sepsis
Confidence Intervals
Mortality
Population
Stroke
Sudden Cardiac Death
Cardiac Arrhythmias
Heart Failure
Myocardial Infarction
Population Control
National Health Programs
Taiwan
Databases
Morbidity
Research

Keywords

  • Epidemiology
  • Heart failure
  • Major adverse cardiovascular events
  • Mortality
  • Sepsis

ASJC Scopus subject areas

  • Medicine(all)
  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine

Cite this

Long-term mortality and major adverse cardiovascular events in sepsis survivors a nationwide population-based study. / Ou, Shuo Ming; Chu, Hsi Ning; Chao, Pei Wen; Lee, Yi Jung; Kuo, Shu-Chen ; Chen, Tzeng Ji; Tseng, Ching Min; Shih, Chia Jen; Chen, Yung Tai.

In: American Journal of Respiratory and Critical Care Medicine, Vol. 194, No. 2, 15.07.2016, p. 209-217.

Research output: Contribution to journalArticle

Ou, Shuo Ming ; Chu, Hsi Ning ; Chao, Pei Wen ; Lee, Yi Jung ; Kuo, Shu-Chen ; Chen, Tzeng Ji ; Tseng, Ching Min ; Shih, Chia Jen ; Chen, Yung Tai. / Long-term mortality and major adverse cardiovascular events in sepsis survivors a nationwide population-based study. In: American Journal of Respiratory and Critical Care Medicine. 2016 ; Vol. 194, No. 2. pp. 209-217.
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AU - Kuo, Shu-Chen

AU - Chen, Tzeng Ji

AU - Tseng, Ching Min

AU - Shih, Chia Jen

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